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Employee Application Form Ver1 - 2

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SANGAR KAREEM
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35 views3 pages

Employee Application Form Ver1 - 2

Uploaded by

SANGAR KAREEM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PLEASE ATTACH

Employment Application Form PHOTOGRAPH


Date:

(Please write clearly and legibly in block letters using black ink)

(As mentioned in Passport)

Title: First Name: Middle Name: Surname:

Date of Birth: Place of Birth:

Nationality:

Gender: Marital Status:

Number of Children:

Position Applied for: Salary Expected (per month):

Date you can take up employment:

How were you referred to CRESCENT?

Resourcing Agency Employee Working with CRESCENT

Newspaper Advertisement Website

Others (Pls specify):

Emergency Contact Name & No:-

Address

Heads in Country of Origin Current Address in Country of Residence


( for identifying Annual Travel Destination) ( For Contact)
Apartment/
House/ Flat No

Street Name

City

State
Pin-Zip. Code/
P.O Box

Country

Tel No

Cell Phone No.

email id

Citizenship & Visa Details

Nationality: Citizenship:

Passport Number: Issue Date: Expiry Date:

Visa Status: Expiry Date: Visa Type:


(Work/Visit/Others)

Crescent Petroleum -1-


Education

Name of From To COURSE/DEGREE DID YOU


Schools/Colleges/Universities (DD/MM/YYYY) (DD/MM/YYYY) GRADUATE
Attended
High School
University

Post
Graduate
Others

Work Experience
Please give career details since leaving full-time education starting with current or most recent employment. Account for
all your time, including voluntary work or other periods away from work.

(in chronological order)


1. Name of Employer: Date Hired From: Date Hired To:

Present Address:

Nature of Business:

Job Title: Department:


Your Main Duties And Responsibilities
1.
2.
3.
4.
Name of Direct Supervisor: Job Title:
Can we contact this employer for references?
Total Annual Package with current employer -
Please specify the details of your salary and benefits

2. Name of Employer: Date Hired From: Date Hired To:

Present Address:

Nature of Business:

Job Title: Department:


Your Main Duties And Responsibilities
1.
2.
3.
4.
Name of Direct Supervisor: Job Title:
Can we contact this employer for references?
Total Annual Package with current employer -
Please specify the details of your salary and benefits

3. Name of Employer: Date Hired From: Date Hired To:

Present Address:

Nature of Business:

Job Title: Department:


Your Main Duties And Responsibilities
1.
2.
3.
4.
Name of Direct Supervisor: Job Title:
Can we contact this employer for references?
Total Annual Package with current employer -
Please specify the details of your salary and benefits

Crescent Petroleum -2-


Language Details
Please mark your rating as (Basic/ Average/Fluent)
Language Proficiency Read Write Speak

Arabic
Kurdish

English
Others

General Information Do y
If yes, please give details

Do you have any police, court, or criminal record?

Do you have any Legal issues in IRAQ or Country of Origin / Visa or Labour matters in IRAQ
pending against you?
If yes, to either of the above, please provide all relevant details on a separate sheet.

Personal Information and General Objectives Give

The professional or personal objective that you intend to achieve in CRESCENT?

Why have you applied for a job in the field of oil and Gas ?

Why did you choose CRESCENT in particular?

References

Give the below mentioned information on two people other than relatives or staff who can be contacted as
reference.

Headings Reference 1 Reference 2 Reference 3


Name
Position
Relationship
Institution / Firm
Address

Telephone (Work)
Telephone (Home)
E-mail id
Reference may be
Contacted (YES/ NO)
Declaration

The facts set forth above in my application for employment are true and complete. I understand that if
employed false statements in this application shall be considered sufficient cause for dismissal.

I understand that any offer of employment is subject to receipt of satisfactory references and
completion of a medical examination as arranged by CRESCENT Petroleum.

You have my permission to approach the references identified in my application to verify any information
contained in this form.

Name:

Signature: _____________________________________________________________________

Please submit this completed form to the HR Manager.

Crescent Petroleum -3-

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